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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020276
Report Date: 01/07/2025
Date Signed: 01/07/2025 01:25:06 PM

Document Has Been Signed on 01/07/2025 01:25 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LITTLE BUNNIES MONTESSORI SCHOOL LLCFACILITY NUMBER:
198020276
ADMINISTRATOR/
DIRECTOR:		SAKUNTALA ABEYASEKERAFACILITY TYPE:
850
ADDRESS:405 N. STONEMAN AVETELEPHONE:
(626) 456-3400
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 39TOTAL ENROLLED CHILDREN: 23CENSUS: 20DATE:
01/07/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:10 AM
MET WITH:Kailyn Uong, teacherTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On Tuesday, January 7, 2025, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced annual inspection and met with teacher Ms. Shayna who guided LPA Perry on a tour of the facility. Upon arrival at 8:11am, LPA Perry observed 4 children in the outdoor play yard, that being 1 preschool child and 3 toddler children. LPA Perry did review sign in and out sheets. Upon review, Toddler child #1 arrived at 7:31am, preschool C#2 arrived at 7:40am, Toddler Child #3 arrived 8:00am and Toddler child #4 arrived at 8:05am. Per S#1, both preschoolers and toddlers are together until arrival of another staff at around 8:30am and that’s when they separate. LPA did inform staff the importance of ensuring we are not co-mingling the children since they are licensed with a toddler option. Staff understood. Facility was observed to be co-mingling preschool and toddler children, which poses an potential risk to the health and safety of the children in care. LPA Perry did observe S#2 immediately separate the children. Per staff, director is out sick and had doctor’s visits and will not be present today.

This is a preschool program that is licensed for a total of 39 children, 16 preschoolers with a toddler option for 23 toddlers ages 18-36 months. Waiver is on file for shared outdoor play space between the preschool and toddlers with a staggered schedule. All areas are conducted in physically separate areas at the facility. This program operates Monday to Friday 7:00 a.m. – 6:00 p.m. Sign in and out takes place at the main entrance area. Children are signed in upon entrance to the building where attendance books for each class will be available. Parents enter from the parking lot located on Stoneman Ave, through the gate of the outdoor playground. The area located in the auditorium serves as the ill isolation area, which has a bench with a blanket or cushion mat for an ill child to rest and is located in the classroom that is not in use, and it will be used by an ill child only if needed. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratios were observed, and present staff are fingerprinted cleared.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276
VISIT DATE: 01/07/2025
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LPA Perry entered Preschool classroom #1. LPA Perry observed 14 children and 2 staff present supervising the children. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA observed cleaning solutions stored inside the top cabinet making it inaccessible for children to reach and open. LPA Perry observed a step trash bin with a lid.

LPA entered the Toddler classrooms, #2, #3, #4 and #5. LPA Perry observed a total of 5 and 3 staff present supervising the children. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA observed cleaning solutions stored inside the top cabinet with a key lock making it inaccessible for children to reach and open. LPA Perry observed a step trash bin with a lid.

Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed mini split AC/heater units located around each classroom. LPA observed the thermostats located in classrooms and temperatures to be between 72-75 degrees. LPA observed the fire extinguishers located in hallways and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 7/3/2024. Smoke detectors were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm system. Carbon monoxide detector was observed and was observed to be operating. The last emergency drill was conducted on 9/17/24. LPA observed napping equipment to be in good condition and stored in the classrooms. First aid kit supplies are kept inside the classrooms and LPA observed the kits to be fully equipped. During this visit, per teacher, currently has no children with medication or severe food allergies. LPA Perry asked if there were any poisons, firearms, weapons, or bodies of water. Teacher stated no firearms, weapons, no poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water.

The preschool has a children's bathroom located in the auditorium, which is designated by the church as the woman’s bathroom. This bathroom has 2 toilets and 2 sinks. The Toddler bathroom is located between classrooms #4 and #5 which has 1 toilet, 1 sink, and 1 potty chair, also available in this bathroom is a changing table within arm’s reach of the sink. Classroom #5 has a bathroom in the room with 1 toilet and 1 sink. A stool was observed to be made available for use by children to reach all toilets and sinks. Preschool and toddler children are escorted and supervised by staff when using the bathrooms.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276
VISIT DATE: 01/07/2025
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LPA Perry entered the outdoor play area. LPA Perry observed the equipment to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA Perry observed play structure equipment to be age appropriate. For adequate shade, LPA Perry observed hip roof shade structure. LPA observed the playground yard to be fenced and the side gates closed and locked. LPA observed trash bins with tight lids. For outdoor water drinking, children bring water bottles.

This program provides am and pm snack only. Meals are provided by families. LPA Perry informed teacher that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPA Perry observed water dispenser in the classroom and water bottles along with children’s cups. LPA observed the food preparation area in the classrooms to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents. Per facility they do not use a kitchen that is located in the church auditorium. Lead testing was not observed to be conducted, which poses a potential risk to the health and safety of the children. Per director, facility dose not have any drinking faucets nor do children drink any water from the faucets. Per director water bottles are purchased for the children and no kitchen is used for food preparation. LPA did not observe any drinking faucets or kitchen to be used for facility. LPA advised director to lead PIN for reference. Director understood.

The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, and Daily Schedule. LPA Perry observed sign in/out sheets and observed completed signatures.

LPA Perry discussed the safe sleep regulations with facility discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed facility of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPA did not observe documentation of safe sleep, 15 minute checks, which poses a potential

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276
VISIT DATE: 01/07/2025
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risk to the health and safety of the children in care. LPA did observe facility to ensure the 15 minute documentation during my visit and during napping hours. LPA did explain all safe sleep regulations and the importance of documentation. Facility staff and director understood.

LPA Perry reviewed children’s files and files were observed to be complete. LPA observed staff files to be incomplete, 3 out of 4 staff files were missing Mandated Reporter Training which poses a potential risk to the health and safety of the children in care. Director and staff were reminded that mandated reporter (AB 1207) training dated must be completed every 2 years, and is available at www.mandatedreporterca.com. Director understood.




Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.



4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations, and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
Page: 4 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276
VISIT DATE: 01/07/2025
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6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles or influenza declination

9.Children’s Records: must be available for review; including but not limited to, the following: Name, address, and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

10.Staff Records: must be available for review; background clearance, LIC 503 Health Screening report, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Staff Qualifications, LIC 9050 Employee Rights, LIC 501 Personnel Record, AB 1207 Mandated Child Abuse Certification, MMR, TDAP, TB, influenza or influenza declination.

Facility was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.



LPA referred Facility to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276
VISIT DATE: 01/07/2025
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Facility was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.


The deficiency listed on the following page was observed by LPA Perry and is being cited in accordance with California Code of Regulations Title 22. Four (4) type B deficiency is being issued today. Please see attached LIC 809-D for citation.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with teacher Kailyn.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
Page: 6 of 10
Document Has Been Signed on 01/07/2025 01:25 PM - It Cannot Be Edited


Created By: Staicy Perry On 01/07/2025 at 01:01 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Request Denied
Type B
Section Cited
CCR
101216.4(a)
Preschool Program with Toddler component
The Toddler program shall be conducted in areas physically seperate from those used by older or younger children, etc....

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observations, interviews and record review, the licensee did not comply with the section cited above. Upon arrival to facility, LPA observed 1 preschool child with 3 toddler children playing outside which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/07/2025
Plan of Correction
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2
3
4
Director will provide LPA with staff schedules for 1 week, that shows staff who are qualified infant and toddler teachers to be present at the facility during all operating hours. Director will also conduct a staff meeting to review Toddler componet regulations. Director will submit via emial to LPA Perry by POC date.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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2
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4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 01/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2025


LIC809 (FAS) - (06/04)
Page: 7 of 10
Document Has Been Signed on 01/07/2025 01:25 PM - It Cannot Be Edited


Created By: Staicy Perry On 01/07/2025 at 01:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observations, interviews, and record reviews, the licensee did not comply with the section cited above in not completeing lead testing which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/07/2025
Plan of Correction
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Director will review LEAD pin to determine weather she will get tested or file for a waiver and or exemption from the regulation stated above. Director will email LPA Perry POCs by POC date.
Type B
Section Cited
CCR
101429(a)(2)(C)
Responsibility for Providing Care and Supervision for Infants
(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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3
4
Based on observation, interviews, record reviews, the licensee did not comply with the section cited above in no documentation of 15 minute sleep checks being conducted which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/07/2025
Plan of Correction
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2
3
4
Per director a staff meeting will be held with all staff and review safe sleep regualtions. Director will also have staff watch safe sleep videos on CCLD website and provide LPA ith staff summaries of what they learned as well as staff meeting agendas and staff sign in and out sheets by POC date to LPA Perry via email.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 01/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2025


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Document Has Been Signed on 01/07/2025 01:25 PM - It Cannot Be Edited


Created By: Staicy Perry On 01/07/2025 at 01:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LITTLE BUNNIES MONTESSORI SCHOOL LLC
FACILITY NUMBER: 198020276

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observations, interviews, and record reviews, the licensee did not comply with the section cited above i3 out of 4 staff did not have mandated reporter training on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/07/2025
Plan of Correction
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2
3
4
Director will submit certificates to LPA Perry via email by POC date once completed.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 01/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2025


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